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The finger extension game was designed in response to a learning exercise by two students on preclinical assignment. It is an activity designed to facilitate the rehabilitation process of the finger extensors on a subcortical level. Occupational therapy literature emphasizes exercise techniques rather than incorporating activities with exercise. This game allows the occupational therapist to provide activities that direct the patient’s concentration away from the exercise itself. This article includes a description and a detailed plan for constructing the finger extension game.